Comparing Physical Therapists (PTs) and Chiropractors: Key Similarities and Differences

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Have you ever wondered how a Physical Therapist (PT) is different from a Chiropractor?

As a physical therapist, I am often asked about the difference between physical therapy and chiropractic care! While both professions are focused on improving musculoskeletal health, there are some important differences between the two.

Here are some key differences between physical therapy and chiropractic care:

  1. Education and training: Physical therapists are required to have a doctoral degree in physical therapy, which includes extensive training in anatomy, physiology, and rehabilitation techniques. Chiropractors, on the other hand, are required to have a doctoral degree in chiropractic care, which focuses on spinal adjustments and the musculoskeletal system.

  2. Treatment approaches: Physical therapy and chiropractic care use different approaches to treat musculoskeletal issues. Physical therapists typically use a combination of exercises, manual therapy, dry needling and education to help patients improve their function and reduce pain. Chiropractors, on the other hand, primarily focus on spinal adjustments to improve alignment and reduce pain.

  3. Scope of practice: Physical therapists are licensed to practice in all 50 states and can treat a wide range of musculoskeletal issues, including neck and back pain, joint pain, and post-surgical rehabilitation. Chiropractors, on the other hand, are licensed to practice in most states but are primarily focused on spinal adjustments. Physical Therapists receive training on how to perform spinal manipulations, however are not able to do so in some states (like Indiana) without a referral from a chiropractor or a physician.

  4. Collaboration with other healthcare professionals: Physical therapists often collaborate with other healthcare professionals, such as physicians, social workers, occupational therapists, and speech therapists, to provide comprehensive care to patients. Chiropractors, on the other hand, typically work independently and may not collaborate with other healthcare professionals as frequently, depending on the setting they work in.

  5. Approach to patient care: Physical therapists take a holistic approach to patient care, addressing not only the physical aspects of an injury or condition, but also the psychological and social factors that can impact recovery. Sessions tend to be longer in order to address all aspects of healing and wellness. Chiropractors focus primarily on the physical aspects of a condition and may not address psychological or social factors to the same extent. They also typically conduct shorter treatment sessions.

While there are certainly differences between physical therapy and chiropractic care, there are also many similarities between the two professions. Both physical therapists and chiropractors are focused on improving musculoskeletal health and reducing pain and dysfunction. Additionally, both professions use a combination of hands-on techniques and exercises to improve function and mobility. I often recommend the combination of the two providers for patients with specific conditions, in order to maximize healing potential!

Physical therapists and chiropractors also share a common goal of empowering patients to take an active role in their own health and well-being. Both professions emphasize patient education and encourage patients to take an active role in their own treatment. By providing patients with the tools and knowledge they need to manage their own symptoms, both physical therapists and chiropractors can help patients achieve better outcomes and maintain their musculoskeletal health over the long term.

Overall, while there are certainly differences between physical therapy and chiropractic care, there are also many similarities between the two professions. Whether you choose physical therapy or chiropractic care, the most important thing is to choose a healthcare professional who can provide the care and support you need to improve your musculoskeletal health and reduce pain and dysfunction.


If you are struggling with illness or injury and would like to get your body moving, schedule a physical therapy appointment with us today! At Wildflower Physical Therapy & Wellness, we can help you to get back to the life you want to live through pain management strategies, activity promotion and exercise.


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